6515-- 508-23-3-299-0180-EER #193664 (VA-23-00080815)

Statement of Work

ENT Chairs

2

BACKGROUND

The Surgery Department require the ENT Chairs for the Ear, Nose, and Throat Clinic due to continuous repairs that do not provide long term results. Continuous use of current equipment poses hazards to patients and staff. Currently at end of life.

SCOPE

The vendor/contractor will provide 4 ENT Chairs for this purchase.

VENDOR/CONTRACTOR REQUIREMENTS

The vendor/contractor shall ensure equipment the ENT Chair meets specifications.

TASKS

The contractor shall complete the following tasks in support of this Delivery:

No delivery or installation provided by vendor.

DELIVERABLES

The vendor/contractor agrees to the following deliverable dates:

No installation provided by vendor.

Vendor will deliver the equipment within (30) days after the award to the Atlanta VA Health Care System Warehouse (no installation).

PERIOD OF PERFORMANCE $ COSTING

See Table Below 9.0.

PLACE OF PERFORMANCE

Atlanta VAHCS, Building C, Operating Room, 1st floor; ENT clinic

CLASSIFICATION/SECURITY

Security clearance is not required. Vendors will not install equipment/software or need

system access.

DESCRIPTION

Item Description Quantity

Requirement Number

Description of Solution

1

Provide all equipment and warranty as outlined in quote

SALIENT CHARACTERISTICS:

Full power ENT Chair

Full articulating headrest

Full Power Articulating Examination Chair/Minor

Procedures Table. Memory feature for recline position, hinged armrests and footstep, dual controls for base and top, either by footswitch with auto return or membrane finger switches on both sides of chair back. Model comes standard with concave upholstered headrest.

7000-H - Seat Height 22.75 Lowered, Raised 33.375

7000-L - Seat Height 20.25 Lowered,

*Contractors providing equal products shall provide descriptive literature describing equal characteristics and must be compatible with current system.